| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,119.50 | $4,761.00 | $8,933.00 | |
Capital Blue Cross
| Facility | $6,431.95 | $7,827.00 | $19,139.18 | |
Martin's Point
| Facility | $1,119.50 | $5,350.00 | $10,247.00 | |
UPMC Health Plan
| Facility | $902.36 | $902.36 | $978.38 | |
United
| Facility | $2,304.00 | $4,584.00 | $9,631.00 |